Development of a Christian Pastoral care and counselling model to support recovery of schizophrenia patients in Maluku

Abstract

The development of the Christian Pastoral Care and Counselling (CPCC) approach aims to support the recovery process of schizophrenia patients, who have not been appropriately handled by the church. A lack of understanding of schizophrenia has led church ministers and congregations in Maluku to consistently identify schizophrenia patients as possessed by evil spirits or ancestral spirits, affected by witchcraft, experiencing original sin, or breaking traditional vows. Consequently, the recovery approach used by pastors is to perform exorcisms, which include prayer, covering schizophrenic patients with priestly robes, or striking them with the Bible. Through descriptive qualitative research using a Focus Group Discussion (FGD) approach and analysed using Clarke & Braun’s six stages, this study proposes a holistic pastoral counselling approach to support the recovery of schizophrenia patients. This pastoral counselling approach is expected to improve the spiritual well-being of schizophrenia patients, reduce anxiety, enable self-management and help them find meaning in life despite their symptoms. The development of this model not only focuses on pastoral-spiritual interventions but also collaborates with medical, psychological, social and cultural approaches to provide holistic support for schizophrenia patients.
Contribution: This article contributes to the growing body of holistic pastoral theology studies, caring for and assisting with the recovery processes of patients with schizophrenia. The holistic pastoral theology approach is also interdisciplinary, encompassing the involvement of other disciplines, such as health and psychosocial-cultural studies.